INDIVIDUAL RETAIL
TITLE____________________________________
NAME/SHIP TO____________________________
ADDRESS __________________________________
CITY __________ STATE _____ ZIP ________
# BOOKS ORDERED _________
COST OF BOOKS (NM sales tax is included in the price of the books) ______________
PAYMENT METHOD (CHECK or PAYPAL)_____________
POSTAGE & HANDLING _$3.00______________
EACH ADDITIONAL BOOK _$1.25______________
TOTAL AMOUNT DUE _________________
DATE _________________________
WHOLESALE ORDERS
BUYER ____________________DATE_____________
PUR. ORDER NO ________________________
BILL TO _________________________________
ADDRESS ________________________________
__________________________________________
SHIP TO _________________________________
__________________________________________
PHONE__________________________________
TITLE____________________________________
NO. OF BOOKS ___________
RETAIL PRICE____________
WHOLESALE PRICE @40% DISCOUNT_______________
AMOUNT DUE______________
Print form and mail to:
Acequia Madre Press
162 El Valle Road
Chamisal, NM 87521
505 689-2200
acequiamadrepress.com
Acequia Madre Press 